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108 Cards in this Set
- Front
- Back
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What is the order of draw
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1. blood culture
2. light blue 3.serum (set, red top, no additive) 4. green top 5. purple top 6. grey top |
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Assault
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attempt or threat to touch or injure another
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Battery
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unauthorized physical contact
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Civil lawsuit
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court action between individuals (monetary compensation)
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Tort
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wrongful act committed by one person against another person or property
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Negligence
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failure to perform duties according to accepted standards
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Ethics
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principles of personal and professional conduct
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Guage of needle routinely used in phlebotomy
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20-23 guage
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Plasma
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the liquid portion of blood that is not allowed to clot
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Serum
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plasma that has been allowed to clot
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Lavender tube contain
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EDTA
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EDTA binds what
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calcium
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Light blue tube contain
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sodium citrate
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What is the ratio of blood to sodium citrate
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9:1
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Volume of blood in a light blue tube
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completely filled
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Aka red/gray tube
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SET tube
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SST tube are used for
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most chemistry tests
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Green top tube contain
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heparin
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Green top tube are used for what
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1. plasma
2. ammonia 3. carboxyhemoglobin 4. Stat electrolytes |
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Green/black rubes contain
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lithium heparin
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AKA green/black tubes
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plasma separator rubes (PST)
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Red top tube contain
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nothing
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Red top rubes are used for
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1. serum chemistry
2. serology |
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Do red top rubes need to be inverted?
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no
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Pink top rubes are used for what
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blood bank
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Yellow/gray rubes contain
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thrombin
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Yellow/gray to establish are used for
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stat serum chemistry
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How long does it take for blood to clot in a yellow/gray tube
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within 5 minutes
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Gray top tube are used for what
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glucose tests
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Blood alcohol levels
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gray top tubes
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Gray top rubes contain what
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sodium fluoride
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Dark blue rubes are b used for
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1. toxicology
2. trace metals 3. nutriential analysis |
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Brown rubes are used for
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lead determinations
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Yellow/gray tubes are used for
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stat serum chemistry
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Green/black and green tubes are used for
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plasma chemistry tests
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Red/gray or gold tubes are used for
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serum separator tubes (SST) for chemistry tests
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When using a blood pressure cuff as a tourniquet, how high is it inflated?
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between systolic and diastolic pressures
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The most important procedure in phlebotomy is
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correct identification of the patient
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Maximum time of tourniquet application
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1 minute
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Location of tourniquet
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3-4 inches above venipuncture site
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Fist pumping can cause what
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hemoconcentration
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The most difficult vein to anchor
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basilic vein
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When should tube mixing occur
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as soon as the tube is removed
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When is a tourniquet not used
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lactic acid determinations
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Aka clots
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thrombi
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Drawing too fast with a syringe may cause what
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hemolysis
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Angle of insertion of a butterfly
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10-15 degrees
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Potassium is most frequently associated with
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hemolysis
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How is hemolysis detected
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presence of pink or red color in plasma or serum
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Why can a blood sample appear cloudy
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lipemia
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What is the function of ARDs
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inactivates antibiotics
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Cold agglutinins are auto antibodies produced by infection with
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mycoplasma pneumoniae
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Cold agglutinins must be kept
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warm
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Which are chilled specimens
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1 ammonia
2 lactic acid 3 pyruvate 4 gastrin 5 ACTH 6 PTH |
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Chilled specimens require a __________ to be transported
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a slurry
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Which specimens are sensitive to light
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1 bilirubin
2 beta carotene 3 pophyrins |
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Capillary blood is a mixture of
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venous and arterial blood
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Capillary blood can contain small amounts of
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tissue (interstial) fluid
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What is the primary cause of hemolytic in dermal punctures
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"milking"
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To prevent contact with the bone, dermal punctures should be limited to
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2.4 mm
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Dermal punctures should be _________ to the fingerprints
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perpendicular
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dermal punctures should be _______ to the anticubital fold
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parallel
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What are the primary dermal puncture sites
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the heel and the distal segments of the 3rd and 4th fingers
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At what age do you use a heel puncture
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up to 1 year of age
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Acceptable areas for a heel puncture
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medial and lateral plantar surfaces
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When doing a skin puncture, what is the most important thing to remember
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first drop of blood must be wiped away
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In a skin puncture, what causes the biggest contamination
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collection devices touching the puncture site or scraping the device over the skin
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When doing a dermal puncture, what is collected first
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platelets and cbc
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At what bilirubin levels is an exchange transfusion indicated
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18 mg/do or a rising rate of 0.5 mg/do per hour
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What is the first thing to do before taking a bilirubin sample for a jaundiced baby
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turn off bili light
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What are the 2 most important neonatal screens for
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PKU and hypothyroidism
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Blood smears are made from which tube
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lavender top (EDTA) tubes
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Why does a blood smear need a feathered edge
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to view one cell later thickness
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Why are two blood smears necessary for a plasmodium assay
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thick smear for detection of parasites and a thin smear for morphology and identification
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When is bleeding time increased
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when platelet count is low
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BTs are usually ordered for what
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PAT assay
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Incision detentions for BTs
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1 mm in depth and 5mm in length
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What site is usually used for BTs
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volar surface of the forearm approximately 5 cm below and parallel to the anti cubical crease
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In neonates, what type of incision is made for BTs
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vertical
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Normal BT
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2-10 minutes
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d/c BTs and notify a supervisor after how long
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20 minutes
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The most important thing to remember when doing BTs
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don't interfere with the clot formation
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Define alaquot
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a portion of a sample
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RACE
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1 rescue
2. alert 3. contain 4. evacuate (extinguish) |
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PASS
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1 pull pin
2. aim 3. squeeze 4. sweep |
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Tube for CBC
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Lavender
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Tube for pregnancy
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red
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Tube used for triponen
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1. serum - red
2. plasma - lavender |
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Tube used for serum chemistry |
red
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Tube used for prothrombin time
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light blue
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Tube used for blood alcohol
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gray
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Tube used for T & C
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pink or lavender
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Tube used for plasma chemistry
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green
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Tubes containing clots
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red
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If fistula present
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use other arm
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Angle of needle
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15-30°
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Easiest vein to anchor
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median cubital vein
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Mix tunes when
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as soon as tube are removed
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What is most frequently associated with hemolysis
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potassium
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FBT is drawn to determine
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if patient can tolerate a large amount of glucose
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Cold agglutinins must be
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kept warm and delivered to lab immediately
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BBC must follow
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chain of custody
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Heel sticks are used
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under 1 yoa
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finger sticks are used
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over 1 yoa
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When doing a dermal puncture what is collected first
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tests for platelets, blood smears and cbc
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R wave to R wave determines
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regularity
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Ammonia is transported
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in a mixture of ice and water
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Blood cultu r especially are collect in
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groups of 2 or 3
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